Individual provider · Type 1 NPI

Tiffany Leah Clack, MSN-ANP

Adult Health Nurse Practitioner · Dallas, TX

NPI number 1376817221 Active

Practice location

712 N. Washington Ave, Suite 415
Dallas, TX 75246-1800

Call (214) 820-9115 Map

Fax (214) 820-9135

Mailing address

712 N Washington Ave, Suite 415
Dallas, TX 75246-1619

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	765246 (TX)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1376817221

Tiffany Leah Clack, MSN-ANP's National Provider Identifier is 1376817221, issued on Feb 23, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dallas, TX. The record was last updated on Mar 30, 2022.